Active NPI
Minal Borsada, MD
- Internal Medicine Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A66056
- Practice address
- 1182 N Euclid St
Anaheim, CA 92801-1900 - Phone
- (714) 441-0411
- Fax
- (714) 441-1824
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A066056 | CA | |
| Internal Medicine Physician | 207R00000X | A66056 | CA | Primary |
Addresses
Primary practice location
1182 N Euclid St
Anaheim, CA 92801-1900
Mailing address
1182 N Euclid St
Anaheim, CA 92801-1900
Phone (714) 441-0411
Other practice location 1
1206 E 17th St Ste 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A0660560 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A066056 | CA | MD | Specialist |
| A66056 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serve the People, Inc | Current | Accepting new patients | |
| San Judas Community Health Center, Inc. | Current | Accepting new patients |
Locations
1080 N Western Ave
Los Angeles, CA 90029
Phone (323) 957-3737
2972 Wilshire Blvd
Los Angeles, CA 90010
Phone (213) 484-0000
1206 E 17th St
Ste 101
Santa Ana, CA 92701
Phone (714) 352-2911
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Serve the People Community Health Center | Federally qualified health center | Corporate Officer | Oct 1, 2019 |
| San Judas Community Health Center Inc | Federally qualified health center | Corporate Officer | Jul 8, 2021 |
| San Judas Community Health Center Inc | Federally qualified health center | Corporate Officer | Jul 8, 2021 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1396235883
Corporate Officer
-
- Clinic/Center
- Los Angeles, CA
- NPI 1184134827
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Santa Ana, CA
- NPI 1770803462
Corporate Officer
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1184134827
-
- Federally Qualified Health Center (FQHC)
- Santa Ana, CA
- NPI 1770803462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1457485500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011900",
"telephone_number": "714-441-0411",
"fax_number": "714-441-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011900",
"telephone_number": "714-441-0411",
"fax_number": "714-441-1824"
}
],
"practiceLocations": [
{
"address_1": "1206 E 17th St Ste 101",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927012641",
"country_code": "US",
"telephone_number": "714-352-2911",
"fax_number": "714-352-2903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORSADA",
"first_name": "MINAL",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A066056",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A66056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A0660560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.